Case Report Malta Medical School Gazette Volume 02 Issue 02 2018 Abstract Ranula is a soft bluish translucent swelling that occurs in floor of mouth usually causing mild discomfort to the patient. Ranula can be categorized as simple or plunging. Simple ranula manifests as bluish colored swelling in the floor of the mouth whereas plunging ranula spread through the facial plans posterior to the mylohyoid muscle into the submandibular and neck spaces. The authors have presented a case of 28- year-old female patient with simple ranula the classical clinical features of simple ranula have been described in detail. The surgical management of the case has been comprehensively described. A detailed discussion of the literature published in recent articles on oral ranula is also presented in the case report. Keywords ranula, sublingual gland, floor of mouth Introduction The term ranula used for a bluish translucent swelling in the floor of mouth is derived from the Latin word rana, denotation used for belly of a frog. 1 There are two possible etiological theories proposed for the development of ranulas. One theory suggests that ranulas progress as a result of mucus extravasation, whereas the other theory states that ranula is formed due to mucus retention. 2 Though the exact information regarding the prevalence of ranula is unclear some researchers have reported it at the prevalence rate of 0.2 cases for every thousand individuals. 3 Females are more commonly affected than males with a male-to- female ratio of 1:1.4. 4 In most of the reported cases the patient is in the second and third decades of life, however cases have been reported individuals ranging from the age of 3 years to 61 years. 1 Considering this background information the authors intend to present a case of oral ranula involving floor of the mouth in a 28-year-old female with comprehensive treatment and 6 month follow-up. Case report A 28-year-old female of Ethiopian origin reported to the clinic with complaint of a swelling under the tongue since a period of 3 months. The patient reported of discomfort while chewing food and speaking due to the swelling. The patient stated that moderate pain originating from the swelling was felt during consumption of food. There was no positive history of fever or discharge from the site of swelling. On examination was pinkish–blue in color and hemispherical in shape [Figure 1]. The approximate diameter was around 3 centimeters and capillaries were visible on the surface of swelling. On palpation the swelling was soft in consistency and fluctuant. There was no evidence of fixity to Oral ranula – report of a case with review of literature Mohammed Said Hamed, Hossam Abdelatty Eid Abdemagyd, Shishir Ram Shetty Mohammed Said Hamed* Dean and Head of Oral and Maxillofacial Surgery College of Dentistry, Gulf Medical University, Ajman, United Arab Emirates [email protected]Hossam Abdelatty Eid Abdemagyd Associate Dean (Clinical) and Associate Professor in Periodontics, College of Dentistry, Gulf Medical University, Ajman, Ajman, United Arab Emirates & PhD, Oral Medicine and Periodontology Department, Faculty of Dentistry, Suez Canal University, Egypt Shishir Ram Shetty Assistant Professor in Oral Medicine & Radiology, College of Dentistry, Gulf Medical University, Ajman, United Arab Emirates *Corresponding Author 48
4
Embed
Oral ranula report of a case with review of literature · 2019. 10. 11. · ranula.6 A Study conducted in Zimbabwe showed high prevalence of ranula in Human immune virus (HIV) patients
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Editorial OrgOdReCase Report
Malta Medical School Gazette Volume 02 Issue 02 2018
Abstract Ranula is a soft bluish translucent swelling that
occurs in floor of mouth usually causing mild
discomfort to the patient. Ranula can be
categorized as simple or plunging. Simple ranula
manifests as bluish colored swelling in the floor of
the mouth whereas plunging ranula spread through
the facial plans posterior to the mylohyoid muscle
into the submandibular and neck spaces. The
authors have presented a case of 28- year-old
female patient with simple ranula the classical
clinical features of simple ranula have been
described in detail. The surgical management of the
case has been comprehensively described. A
detailed discussion of the literature published in
recent articles on oral ranula is also presented in the
case report.
Keywords ranula, sublingual gland, floor of mouth
Introduction
The term ranula used for a bluish translucent
swelling in the floor of mouth is derived from the
Latin word rana, denotation used for belly of a
frog.1 There are two possible etiological theories
proposed for the development of ranulas. One
theory suggests that ranulas progress as a result of
mucus extravasation, whereas the other theory
states that ranula is formed due to mucus retention.2
Though the exact information regarding the
prevalence of ranula is unclear some researchers
have reported it at the prevalence rate of 0.2 cases
for every thousand individuals. 3 Females are more
commonly affected than males with a male-to-
female ratio of 1:1.4.4 In most of the reported cases
the patient is in the second and third decades of life,
however cases have been reported individuals
ranging from the age of 3 years to 61 years. 1
Considering this background information the
authors intend to present a case of oral ranula
involving floor of the mouth in a 28-year-old
female with comprehensive treatment and 6 month
follow-up.
Case report A 28-year-old female of Ethiopian origin
reported to the clinic with complaint of a swelling
under the tongue since a period of 3 months. The
patient reported of discomfort while chewing food
and speaking due to the swelling. The patient stated
that moderate pain originating from the swelling
was felt during consumption of food. There was no
positive history of fever or discharge from the site
of swelling. On examination was pinkish–blue in
color and hemispherical in shape [Figure 1]. The
approximate diameter was around 3 centimeters and
capillaries were visible on the surface of swelling.
On palpation the swelling was soft in consistency
and fluctuant. There was no evidence of fixity to
Oral ranula – report of a case with review of
literature
Mohammed Said Hamed, Hossam Abdelatty Eid Abdemagyd,
Shishir Ram Shetty
Mohammed Said Hamed*
Dean and Head of Oral and Maxillofacial Surgery
College of Dentistry, Gulf Medical University, Ajman,